A multimodality endoscopic approach for the management of buried bumper syndrome

Buried bumper syndrome is a rare, long-term complication of percutaneous endoscopic gastrostomy (PEG) placement, occurring in 1 % – 2 % of cases [1] [2]. It is thought to occur because of prolonged compression of the tissue between the external and internal fixators, leading to ‘burying’ of the PEG bumper into the gastric wall ([Fig. 1]). Consequences include tube obstruction and, more rarely, bleeding, abscess formation, and perforation...